scholarly journals Quality of life after radiation and transoral robotic surgery in advanced oropharyngeal cancer

Author(s):  
Thomas M. Kaffenberger ◽  
Ankur K. Patel ◽  
Lingyun Lyu ◽  
Jinhong Li ◽  
Tamara Wasserman‐Wincko ◽  
...  
2017 ◽  
Vol 128 (2) ◽  
pp. 403-411 ◽  
Author(s):  
Rishabh Sethia ◽  
Ali C. Yumusakhuylu ◽  
Isa Ozbay ◽  
Virginia Diavolitsis ◽  
Nicole V. Brown ◽  
...  

2020 ◽  
Vol 13 (3) ◽  
pp. 1295-1303
Author(s):  
Amir M. Salehi ◽  
Lena Norberg-Spaak ◽  
Torben Wilms ◽  
Simon Vallin ◽  
Linda Boldrup ◽  
...  

Studies have shown lower treatment-related morbidity when using transoral robotic surgery (TORS) compared to conventional surgery. Patients investigated for oro- and hypopharyngeal cancer (T1, T2) were compared concerning quality of life (QoL) after tonsillectomy and TORS using validated QoL questionnaires: QLQ-C30 and QLQ-H&N35. The patients treated with TORS showed a higher pain score and thus also a higher need for painkillers, whereas they had lower values on self-assessment of anxiety/depression using the Hospital Anxiety and Depression Scale score. The pre- and postoperative information given did not meet the expectations of the patients treated with conventional surgery. The present data show advantages of the TORS technique from the patients’ perspective. Even if patients treated with TORS are in need of more painkilling treatment, they cope better with the long-term effects of treatment, as judged by self-assessment of anxiety and depression.


2015 ◽  
Vol 43 (8) ◽  
pp. 1561-1566 ◽  
Author(s):  
Giuseppe Mercante ◽  
Alessandra Masiello ◽  
Isabella Sperduti ◽  
Giovanni Cristalli ◽  
Raul Pellini ◽  
...  

2020 ◽  
Vol 30 (2) ◽  
pp. 297-303
Author(s):  
Farbood Kalantari ◽  
Shahin Rajaeih ◽  
Ali Daneshvar ◽  
Zahra Karbasi ◽  
Mohammad Mahdi Salem

Head and neck cancers are the most common cancers in the body. Treatments are determined on the basis of the location and stage of the primary tumor. The goal of treatment is to eliminate the tumor, prevent recurrence or metastasis, and maintain the quality of life. There are several treatments available for the management of head and neck cancers, including surgery, radiation therapy, chemotherapy, new molecular agents, and a combination of them. Transoral robotic technique is a short-time operation using a type of robotic machine in which the patient undergoes anesthesia for a shorter time and the side effects of this operation and the time of hospitalization are less than open surgery. Due to the importance of speed and accuracy in head and neck cancer surgery and the importance of application of robotics in surgery, the present study was designed and implemented to review the application of robotics in the management of head and neck cancers. In this review study, the keywords: application, robotic, surgical, head cancer, transoral robotic surgery (TORS), and neck cancer, were searched in ISI, PubMed, Scopus, Google scholar databases. Related articles written domestically or abroad that have covered areas such as the background of transoral robotic surgery, maintaining organ function and approaches, the advantages and disadvantages of TORS, the affordability of TORS, the combination of TORS with other therapeutic approaches published from 2003 to 2019 were reviewed. The use of robotic surgery for precise operations such as head and neck cancers seems to be essential. More advanced robotic devices are expected to expand the surgery treatment for head and neck cancers as well as the results of using TORS for oncologic optimization and acceptability of results while maintaining organ function and patient's quality of life.


Head & Neck ◽  
2011 ◽  
Vol 34 (2) ◽  
pp. 146-154 ◽  
Author(s):  
Fernando Danelon Leonhardt ◽  
Harry Quon ◽  
Marcio Abrahão ◽  
Bert W. O'Malley ◽  
Gregory S. Weinstein

Author(s):  
Farbood Kalantari ◽  
Shahin Rajaeih ◽  
Ali Daneshvar ◽  
Zahra Karbasi ◽  
Mohammad Mahdi Salem

Head and neck cancers are the most common cancers in the body. Treatments are determined on the basis of the location and stage of the primary tumor. The goal of treatment is to eliminate the tumor, prevent recurrence or metastasis, and maintain the quality of life. There are several treatments available for the management of head and neck cancers, including surgery, radiation therapy, chemotherapy, new molecular agents, and a combination of them. Transoral robotic technique is a short-time operation using a type of robotic machine in which the patient undergoes anesthesia for a shorter time and the side effects of this operation and the time of hospitalization are less than open surgery. Due to the importance of speed and accuracy in head and neck cancer surgery and the importance of application of robotics in surgery, the present study was designed and implemented to review the application of robotics in the management of head and neck cancers. In this review study, the keywords: application, robotic, surgical, head cancer, transoral robotic surgery (TORS), and neck cancer, were searched in ISI, PubMed, Scopus, Google scholar databases. Related articles written domestically or abroad that have covered areas such as the background of transoral robotic surgery, maintaining organ function and approaches, the advantages and disadvantages of TORS, the affordability of TORS, the combination of TORS with other therapeutic approaches published from 2003 to 2019 were reviewed. The use of robotic surgery for precise operations such as head and neck cancers seems to be essential. More advanced robotic devices are expected to expand the surgery treatment for head and neck cancers as well as the results of using TORS for oncologic optimization and acceptability of results while maintaining organ function and patient's quality of life.


2017 ◽  
Vol 158 (3) ◽  
pp. 479-483 ◽  
Author(s):  
Joseph Spellman ◽  
Ryan Sload ◽  
Paul Kim ◽  
Peter Martin ◽  
Gabriel Calzada

Objective This study introduces a treatment algorithm based on staging neck dissection to identify patients with palatine tonsil squamous cell carcinoma who can be effectively treated with single-modality transoral robotic surgery while maintaining quality of life. Study Design Retrospective case series. Setting Kaiser Permanente Southern California Medical Group from 2012 to 2017. Subjects and Methods Patients with early-stage (T1/2) palatine tonsil squamous cell carcinoma with clinically and radiographically N0 necks underwent staging neck dissection. Those with pN2/3 disease or extracapsular extension on final pathology were triaged to definitive chemoradiation treatment. Patients with confirmed pN0/1 necks without extracapsular extension were treated definitively with transoral robotic surgery. Results Nineteen patients with cN0 disease underwent selective neck dissection. All were p16 positive. Of these, 14 had pathologically confirmed N0/1 necks without extracapsular extension and were treated with primary surgical resection via transoral robotic surgery. Clear margins were obtained on all patients. There were no significant intra- or postoperative complications. No patients required gastrostomy tube or tracheostomy placement. Mean and median follow-up was 28 months with no recurrences to date. Conclusion Up-front staging neck dissection accurately triages low-risk patients, determining candidates for single-modality definitive treatment with transoral robotic surgery. This approach provides excellent survival outcomes and minimal morbidity and maintains quality of life among appropriately selected patients with palatine tonsil cancer.


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